HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbe : Fti
C, 1% 44 CLE
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
NOV 2 9 2019
Building Permit Applic WN, itting Department
St. Lucie County, FL
Commercial Residential X
PERMIT TYPE: LP TANK
TPPOSED IMPROUEM,ENT LOCi4TION � e
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Address: 1503 NW Sawgrass WAY Palm City, FL 34990
Property Tax ID #: 4426-815-0062-000-4
Site Plan Name: Ludgate
Project Name:
Supply and install 500 gallon underground LP tank with gas line to generator and final connect
Lot No.
Block No.
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CQNSTRUCTION INFORMATION k�
Additional work to be performed under this permit —check all that apply:
—Mechanical ,<Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3495.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
01NtNER%LESSEE s
CONTRACTOR`'
NameJohn Ludgate
Name: Blake Cowdell
Address:1503 NW Sawgrass WAY
Company: Energized Gas
City: Palm City State. -IF
Zip Code: 34990 Fax:
Phone No.9083853518
Address:1786 SW Biltmore St
City: Port ST Lucie State. FL
Zip Code: 34984 Fax: 7723186672
Phone N07724661095
E-Mail energizedgenerators@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License LG34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
-SUPPLEMENTAL CONSTRUCTION LIEN LAW INF'ORMATION.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: , State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ancovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of C(Tntractor/Licen'se Holder
STATE OFF LO
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Name of person making statement.
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Name of person making statement.
Personally Known X OR Produced Identification
Personally Known )L/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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